Individual
KEELEY SOMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4545 N 92ND ST, WAUWATOSA, WI 53225-4807
(414) 847-5101
Mailing address
4949 W KATHLEEN LN, MEQUON, WI 53092-4521
(954) 249-1401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5521-26
WI
Other
Enumeration date
07/25/2014
Last updated
12/21/2016
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